| Lilburn Dentistry Group, Llc | |
|
375 Rockbridge Rd Nw Ste 164 Lilburn GA 30047-5870 | |
| (770) 921-7047 | |
| Not Available |
| Full Name | Lilburn Dentistry Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 375 Rockbridge Rd Nw Ste 164, Lilburn, Georgia |
| Authorized Official Name and Position | Minal Patel (ADMINISTRATOR) |
| Authorized Official Contact | 7707188151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilburn Dentistry Group, Llc 1082 Moores Mill Rd Nw Atlanta GA 30327-1644 Ph: (770) 718-8151 | Lilburn Dentistry Group, Llc 375 Rockbridge Rd Nw Ste 164 Lilburn GA 30047-5870 Ph: (770) 921-7047 |
| NPI Number | 1952986036 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952986036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Alan C. Tucker, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 639a Beaver Ruin Rd Nw, Lilburn, GA 30047 Phone: 770-923-5200 Fax: 770-564-0613 | |
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